Simple pneumonia and pleurisy with complications in Michigan
What 42 hospitals in Michigan charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$24,207
Hospital list price billed
Average payment
$7,597
Medicare + patient + other payers
Medicare paid
$5,296
Average per stay
State rank
#25 of 47
1 = lowest average payment
Hospitals in Michigan billed an average of $24,207 for simple pneumonia and pleurisy with complications, about 3.2 times the average total payment of $7,597. That payment is 4% below the U.S. average of $7,941.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $7,597Billed $24,207
About 31¢ was paid for every $1 hospitals in Michigan billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Michigan:
Michigan hospitals: simple pneumonia and pleurisy with complications
Every Michigan hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| William Beaumont Hospital-TroyTroy | 73 | $23,188 | $5,896 | $4,130 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 59 | $24,427 | $7,180 | $5,248 |
| Bronson Methodist HospitalKalamazoo | 55 | $25,153 | $7,583 | $5,041 |
| Henry Ford Macomb HospitalClinton Twp | 52 | $22,291 | $7,261 | $4,966 |
| Univ of Michigan HospitalsAnn Arbor | 50 | $38,268 | $11,176 | $7,133 |
| William Beaumont HospitalRoyal Oak | 50 | $25,812 | $7,949 | $5,730 |
| St Mary Mercy HospitalLivonia | 48 | $27,235 | $8,306 | $5,474 |
| Henry Ford HospitalDetroit | 37 | $23,129 | $11,226 | $7,065 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 35 | $23,362 | $6,606 | $4,158 |
| Providence Hospital and Medical CentersSouthfield | 34 | $23,574 | $7,461 | $5,294 |
| Beaumont Hospital - DearbornDearborn | 31 | $28,140 | $7,254 | $5,489 |
| Battle Creek Health SystemBattle Creek | 31 | $24,236 | $6,302 | $4,934 |
| Spectrum Health - Butterworth CampusGrand Rapids | 30 | $22,649 | $8,442 | $5,734 |
| Holland Community HospitalHolland | 27 | $21,953 | $6,187 | $4,676 |
| Allegiance HealthJackson | 26 | $31,170 | $7,968 | $5,584 |
| Covenant Medical Center, INCSaginaw | 25 | $21,645 | $6,410 | $4,507 |
| Munson Medical CenterTraverse City | 23 | $17,807 | $7,155 | $5,765 |
| Beaumont Hospital - Farmington HillsFarmington Hls | 23 | $30,407 | $8,728 | $5,928 |
| Edward W Sparrow HospitalLansing | 21 | $30,294 | $7,885 | $5,397 |
| Lakeland Hospital, St JosephSt Joseph | 20 | $21,242 | $7,168 | $5,140 |
| Corewell Health Trenton HospitalTrenton | 20 | $30,385 | $7,181 | $5,063 |
| St Joseph Mercy OaklandPontiac | 19 | $26,309 | $8,191 | $5,603 |
| Beaumont Hospital, Grosse PointeGrosse Pointe | 18 | $26,307 | $6,590 | $4,145 |
| Henry Ford Health Warren HospitalWarren | 17 | $19,074 | $7,382 | $5,804 |
| McLaren MacombMt Clemens | 17 | $20,249 | $7,330 | $5,474 |
| Hillsdale Community Health CenterHillsdale | 16 | $15,205 | $7,789 | $6,454 |
| Chelsea Community HospitalChelsea | 16 | $21,247 | $6,521 | $4,487 |
| Hurley Medical CenterFlint | 15 | $33,762 | $9,112 | $5,682 |
| Midmichigan Medical Center-MidlandMidland | 15 | $16,074 | $7,316 | $5,294 |
| Mymichigan Medical Center AlmaAlma | 14 | $15,636 | $7,147 | $5,626 |
| Corewell Health Big Rapids HospitalBig Rapids | 14 | $18,073 | $7,318 | $5,473 |
| Henry Ford Wyandotte HospitalWyandotte | 14 | $24,757 | $7,788 | $4,203 |
| Beaumont Hospital - TaylorTaylor | 14 | $23,296 | $7,159 | $4,230 |
| Insight Hospital and Medical Center ColdwaterColdwater | 13 | $18,041 | $6,840 | $5,143 |
| West Branch Regional Medical CenterWest Branch | 13 | $12,983 | $7,009 | $5,377 |
| Bay Regional Medical CenterBay City | 12 | $21,277 | $5,244 | $4,119 |
| Trinity Health Muskegon HospitalMuskegon | 12 | $19,016 | $7,121 | $5,621 |
| McLaren Regional Medical CenterFlint | 12 | $20,664 | $7,417 | $5,593 |
| Midmichigan Medical Center-ClareClare | 12 | $14,805 | $6,617 | $5,529 |
| Borgess Medical CenterKalamazoo | 11 | $24,558 | $7,782 | $5,075 |
| St John Hospital and Medical CenterDetroit | 11 | $15,625 | $8,405 | $5,491 |
| Ascension Providence Rochester HospitalRochester | 11 | $22,315 | $7,518 | $4,700 |
Lowest and highest payments in Michigan
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Bay Regional Medical CenterBay City, MI | $5,244 |
|---|---|
| William Beaumont Hospital-TroyTroy, MI | $5,896 |
| Holland Community HospitalHolland, MI | $6,187 |
| Battle Creek Health SystemBattle Creek, MI | $6,302 |
| Covenant Medical Center, INCSaginaw, MI | $6,410 |
Highest
| Henry Ford HospitalDetroit, MI | $11,226 |
|---|---|
| Univ of Michigan HospitalsAnn Arbor, MI | $11,176 |
| Hurley Medical CenterFlint, MI | $9,112 |
| Beaumont Hospital - Farmington HillsFarmington Hls, MI | $8,728 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $8,442 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Michigan?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 42 hospitals in Michigan was billed at $24,207 on average, while the average total payment was $7,597, of which Medicare paid $5,296. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Michigan, average charges were 3.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.